Individual
MR. KENT R DINUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8625 Q STREET, OMAHA, NE 68127-3673
(402) 331-0221
(402) 331-9903
Mailing address
8625 Q STREET, OMAHA, NE 68127-3673
(402) 331-0221
(402) 331-9903
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02569
BCBS
NE
05
—
10025339700
—
NE
01
—
249313
MIDLANDS CHOICE
—
01
—
P00282104
RAILROAD MEDICARE
—
Enumeration date
04/06/2006
Last updated
11/09/2022
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